Individual
MARENN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
241 MOFFITT BLVD, ISLIP, NY 11751-2915
(631) 766-7444
Mailing address
241 MOFFITT BLVD, ISLIP, NY 11751-2915
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
636972
NY
163WN0003X
Low-Risk Neonatal Registered Nurse
636972
NY
163WP1700X
Perinatal Registered Nurse
636972
NY
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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